Root Canal vs. Tooth Extraction: Which Is Better for You?

What Is a Root Canal?

Root canal therapy is designed to save a severely damaged or infected tooth. Here’s how it works:

• We gently remove the infected pulp from inside the tooth
• The canal system is cleaned and shaped
• The space is filled with a biocompatible material and sealed

At Savannah River Endodontics, we use GentleWave® technology, which allows for:

• Deep, thorough cleaning—even in complex root systems
• Enhanced comfort and efficiency
• Reduced post-op discomfort and shorter recovery

What Is a Tooth Extraction?

Tooth extraction is typically considered when a tooth is:

• Severely decayed or fractured beyond repair
• Causing crowding or alignment issues
• Associated with serious infection not treatable with a root canal

During the procedure, the tooth is removed from the socket. In many cases, patients may need a replacement, such as a dental implant or bridge, to restore function and aesthetics.

If you’re experiencing:

• Persistent pain or throbbing
• Sensitivity to heat or cold
• Swollen gums or a pimple-like bump
• Darkening of the tooth

…you may have an infection that needs immediate attention.

In some cases, extraction may be the only option if:

• The tooth is cracked below the gumline
• The structure is too compromised to restore
• The infection has spread beyond the tooth

Ignoring an infected or damaged tooth can lead to:

• Spread of infection to other parts of the body
• Bone loss in the jaw
• Tooth loss and shifting of neighboring teeth
• More expensive and complex dental problems

Our goal is to intervene early and provide minimally invasive, high-tech care to preserve your long-term health and restore your comfort quickly.

Thanks to modern techniques and anesthesia, both procedures are relatively comfortable. That said:

• Root canals are often described as less painful, especially when treated with GentleWave®
• Tooth extractions may involve more swelling, bleeding, and discomfort during the healing period

We prioritize your comfort throughout the process and offer compassionate, calming care to help you feel at ease.

• Root Canal: Most patients return to normal activity within 1–3 days. Post-procedure soreness is usually mild.
• Tooth Extraction: Recovery can take 3–7 days. You may experience swelling, bleeding, and dietary restrictions. Additional healing is needed if the socket will be prepared for a future implant.

Our use of bioceramic materials helps reduce inflammation and promote quicker healing.

There’s no one-size-fits-all answer, because many factors influence how long a root canal or dental implant will last. These include the health of the surrounding bone and gum tissue, bite pressure, oral hygiene habits, and even genetics.

A properly done root canal can last decades, but it may eventually need to be redone in your lifetime, and that’s completely normal. Dental implants are also designed to be long-lasting and highly durable, but they require multiple steps and months of healing, especially if bone grafting is involved.

If your natural tooth can be saved, preserving it is often the preferred approach. But your dentist will evaluate your specific situation to help you make the most informed, long-term decision.

Yes, early detection is key. Regular exams and imaging can catch decay or infection before it spreads.

By addressing dental issues early:

• You may only need a filling or crown
• You can avoid the time and cost of more invasive procedures
• You maintain your natural smile

Our CBCT imaging helps us catch hidden issues before they become emergencies.

At Savannah River Endodontics, we specialize in saving teeth through advanced endodontic care that’s:

• Minimally invasive and highly precise
• Patient-centered and comfort-focused
• Backed by the latest technology, including GentleWave® and CBCT

Led by Dr. Ben Wheeler, we’re proud to be the only GentleWave provider in Southeast Georgia, offering patients a better experience and outcomes.

If you’re unsure whether a root canal or tooth extraction is the best option for your dental health, Savannah River Endodontics is here to help. Dr. Ben Wheeler and our team use cutting-edge technology like GentleWave® and CBCT imaging to deliver precise, comfortable care—right here in Pooler, GA. Contact us today to schedule your personalized consultation.

Sources

• American Association of Endodontists
• Penn Dental Medicine
• Newbury Dental